Basic Information
Provider Information
NPI: 1720396443
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZEIGLER
FirstName: REBECCA
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: P.A
OtherOrganizationName:  
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OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3435 WINCHESTER RD
Address2:  
City: ALLENTOWN
State: PA
PostalCode: 181042268
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber:  
Practice Location
Address1: 3100 EMRICK BLVD
Address2:  
City: BETHLEHEM
State: PA
PostalCode: 18020
CountryCode: US
TelephoneNumber: 6108618080
FaxNumber: 6109975762
Other Information
ProviderEnumerationDate: 09/15/2010
LastUpdateDate: 07/31/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363AS0400XMA054552PAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical

No ID Information.


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